Aspiration Precautions in Nursing Homes
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Questions and Answers

What is the primary goal of the aspiration policy at Woodside Manor Nursing Home?

  • To allow residents to eat at their own pace without supervision
  • To maintain the wellbeing of residents while facilitating socialization and timely meals (correct)
  • To ensure that all meals are served in a standard flat position
  • To eliminate all dietary restrictions for residents
  • How should residents under aspiration precautions be positioned during meals?

  • In a reclined position with support pillows
  • Lying flat with minimal head elevation
  • Sitting upright during meals and remaining upright for 30 minutes afterward (correct)
  • Seated at a standard dining table without special precautions
  • What action should a nurse take if a resident coughs while ingesting food or fluids?

  • Ignore the incident unless the resident chokes
  • Increase the thickness of the fluid without further assessment
  • Immediately inform the medical provider
  • Downgrade the diet or fluid consistency based on nursing judgment (correct)
  • Which team member is responsible for completing the swallow evaluation for residents on aspiration precautions?

    <p>Speech pathologist in-house (D)</p> Signup and view all the answers

    What is the significance of the yellow dot in the nursing home?

    <p>It marks a resident as an aspiration risk (C)</p> Signup and view all the answers

    What must be documented if a diet consistency is downgraded due to a resident's coughing?

    <p>A progress note in the EHR, including vital signs (B)</p> Signup and view all the answers

    Why is a nurse required to be present during meals for residents on aspiration precautions?

    <p>To monitor for choking and intervene if necessary (A)</p> Signup and view all the answers

    What action is taken when aspiration precautions are indicated on transfer orders?

    <p>They are transcribed to admission orders by the nurse (A)</p> Signup and view all the answers

    Flashcards

    Aspiration Precautions Policy

    Woodside Manor Nursing Home policy to ensure resident well-being during meals, considering socialization needs and timely eating.

    Transfer Orders

    Medical orders that are transferred and documented for residents.

    Swallow Evaluation

    Assessment by a speech pathologist to determine swallowing ability.

    Aspiration Risk Resident Monitoring

    Requires nursing staff presence during meals and 30 minutes after eating.

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    Head of Bed Position

    Beds should NOT be flat for residents on aspiration precautions.

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    Diet Downgrading

    Nurse can adjust diet/fluid consistency if resident coughs during intake.

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    Documentation Requirements

    EHR progress notes, vital signs, and provider/dietitian notifications are needed.

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    Yellow Dot Marking

    A yellow dot identifies residents at risk of aspiration.

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    Study Notes

    Aspiration Precautions Policy

    • Woodside Manor Nursing Home prioritizes resident well-being and allows residents to eat timely, while managing aspiration precautions.

    Procedure

    • If aspiration precautions are needed, orders are transcribed to admission orders.
    • A swallow evaluation by a speech pathologist is required.
    • If a speech pathologist recommends precautions, a medical provider order is obtained and the dietitian is informed.

    Reminders

    • Residents at risk for aspiration are supervised during meals (nursing staff member in view at mealtimes or high observation areas).
    • Resident headbeds are kept upright.
    • Residents must remain upright for 30 minutes after meals.
    • Residents must be closely monitored by a nurse during all oral intake (fluids, food, and medications) to prevent choking. Nursing interventions include abdominal thrusts, suctioning, or CPR.
    • Aspiration precautions are indicated on medical orders, dietary cards, and care cards.
    • A yellow dot marks residents. This can be applied to care cards, resident IDs, and room numbers.
    • If a resident coughs while eating, the nurse may adjust the diet/consistency of fluids based on nursing judgment.
    • A progress note in the EHR must include vital signs.
    • Medical provider, speech pathologist, and dietary department must be notified. This notification and adjustment are documented in the Provider Logbook.
    • The dietary adjustment remains until the medical provider and speech pathologist give further recommendations.
    • These subsequent adjustments are recorded within 24 hours.

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    Description

    This quiz covers the policies and procedures related to aspiration precautions at Woodside Manor Nursing Home. Learn about the importance of timely meals, swallow evaluations, and monitoring residents to enhance their safety during oral intake. Understanding these practices is crucial for ensuring the well-being of residents at risk for aspiration.

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